STEPHENS MEMORIAL HOSPITAL ASSOCIATION (NPI# 1720379977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720379977 |
| Entity Type | Organization |
| Organization Name | STEPHENS MEMORIAL HOSPITAL ASSOCIATION |
| Other Organization Name | WESTERN MAINE OB/GYN |
| Practice Address |
193 Main St Suite 3 Norway ME 04268-5645 |
| Mailing Address |
181 Main St Norway ME 04268-5664 |
| Practice Telephone | 2077437605 |
| Practice Fax Number | 2077431579 |
| Mailing Telephone | 2077435933 |
| Mailing Fax Number | 2077431566 |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2014-10-10 |
| Authorized Official Name | JOHN W COX (SR VP FISCAL) |
| Authorized Official Telephone | 2077435933 |
| Is Organization Subpart | Y |
| Parent Organization Name | STEPHENS MEMORIAL HOSPITAL ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 37353 | ME | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Western Maine OB/GYN | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285925438 | Stephens Memorial Hospital Association | Surgery | 193 Main St, Ripley Medical Building, Norway, ME 04268-5645 | 2011-04-22 |
| 1528359841 | Stephens Memorial Hospital Association | General Acute Care Hospital | 34 Winter St, Norway, ME 04268-5620 | 2011-04-20 |
| Street Address |
193 MAIN ST SUITE 3 |
| City | NORWAY |
| State | ME |
| Zip Code | 04268-5645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003805995 | Martin D Whitaker | Ophthalmology | 193 Main St, Norway, ME 04268-5645 | 2005-10-14 |
| 1033752464 | Emily Karonis | Nurse Practitioner | 193 Main St, Norway, ME 04268-5645 | 2019-10-17 |
| 1710547153 | Kelly Trancygier | Physical Therapist | 193 Main St, Norway, ME 04268-5645 | 2019-06-18 |
| 1457910317 | Scott Bottomley | Physical Therapist | 193 Main St, Norway, ME 04268-5645 | 2019-06-13 |
| 1871032250 | Jennifer Collins | Social Worker | 193 Main St, Norway, ME 04268-5645 | 2017-02-17 |
| 1043673957 | Crossway Family Dental Pa | Dentist | 193 Main St, Norway, ME 04268-5645 | 2016-03-30 |
| 1487022398 | Gregory Bates | Nurse Practitioner | 193 Main St, Norway, ME 04268-5645 | 2015-09-09 |
| 1184013344 | Lisa Louise Letourneau-bonn | Nurse Practitioner | 193 Main St, Norway, ME 04268-5645 | 2015-01-12 |
| 1144599986 | Western Maine Multi-medical Specialists Dba Oxford Hills Internal Medi | Nurse Practitioner | 193 Main St, Suite 1, Norway, ME 04268-5645 | 2011-12-23 |
| 1811288061 | Mainehealth | General Acute Care Hospital | 193 Main St, Suite 9, Norway, ME 04268-5645 | 2011-04-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407349202 | A Life's Compass Pllc | Case Management | 9 Marston St, Norway, ME 04268 | 2018-06-07 |
| 1487170254 | Sharon Beth Skillings | Registered Nurse | 59 Winter St, Norway, ME 04268 | 2017-08-14 |
| 1811368426 | Michelle Y Buescher | Nurse Practitioner | 8 Pikes Hill, Western Maine Family Practice, Norway, ME 04268 | 2015-10-08 |
| 1255665899 | New Communities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Beal Street, Norway, ME 04268 | 2009-09-30 |
| 1205066636 | Michaele J Potvin | Social Worker | 193 Main Street, Suite 9, Norway, ME 04268 | 2009-07-20 |
| 1275762999 | Brady C Mullin | Surgery | 193 Main Street, Suite 16, Norway, ME 04268 | 2009-07-02 |
| 1750596664 | Christopher A Cifizzar Dds Pa | Dentist | 15 Pearl St, Norway, ME 04268 | 2007-05-14 |
| 1316068588 | Mary Clare Clifford | Speech-Language Pathologist | 18 Grove Street, Ot To Play, Norway, ME 04268 | 2007-04-03 |
| 1891823324 | Occupational Health Centers of Sw Pa | Clinic/Center | 29 Winter Street, Norway, ME 04268 | 2007-02-28 |
| 1740349497 | Donna Hilleboe Demuth | Specialist | 129 Valhalla Ln., Box 635, Norway, ME 04268 | 2006-12-08 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902268048 | Jordan Faloon | Obstetrics & Gynecology | 193 Main St Ste 3, Norway, ME 04268-5645 | 2016-03-28 |
| 1013036789 | Carolyn Costanzi | Obstetrics & Gynecology | 193 Main St, Suite 9, Norway, ME 04268-5645 | 2007-03-27 |
| 1306942271 | Western Maine Multi Medical Specialist | Obstetrics & Gynecology | 193 Main St, Suite 3, Norway, ME 04268-5645 | 2006-09-16 |
| 1043248438 | Gregory J Hardy | Obstetrics & Gynecology | 193 Main St, Suite 3, Norway, ME 04268-5645 | 2006-06-28 |
| 1780652461 | Mark A Klemperer | Obstetrics & Gynecology | 193 Main St, Suite 3, Norway, ME 04268-5645 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821554924 | Lissa Marie Diaz Ecker | Obstetrics & Gynecology | 7 Tiger Lily Ln, Cape Elizabeth, ME 04107-5107 | 2019-02-13 |
| 1851749089 | Erica Leigh Jacovetty | Obstetrics & Gynecology | 121 Medical Center Dr Ste 2700, Brunswick, ME 04011-2669 | 2016-05-27 |
| 1053724757 | Alec Anderson | Obstetrics & Gynecology | 417 State Stree, Webber West Suite 141, Bangor, ME 04401 | 2014-06-10 |
| 1760820385 | John Ogorek | Obstetrics & Gynecology | 100 Brickhill Ave Ste 23, Portland, ME 04106-1999 | 2013-06-05 |
| 1174877187 | Karen Lynn King | Obstetrics & Gynecology | 8 Balsam Ave, Brunswick, ME 04011-9369 | 2012-10-30 |
| 1841557170 | Eleonore Pettit Werner | Obstetrics & Gynecology | 84 Marginal Way Ste 900, Portland, ME 04101-2476 | 2012-04-11 |
| 1669606521 | Caroline Foust-wright | Obstetrics & Gynecology | 300 Southborough Dr, Suite 201, South Portland, ME 04106-6914 | 2009-05-07 |
| 1477787364 | Jennifer Zeliger | Obstetrics & Gynecology | Franklin Health Women's Care, 181 Franklin Health Commons, Farmington, ME 04938 | 2009-05-07 |
| 1356548168 | Christopher Alan Rumsey | Obstetrics & Gynecology | 700 Mount Hope Ave Ste 480, Bangor, ME 04401-5659 | 2007-06-27 |
| 1912026600 | Christopher J Darus | Obstetrics & Gynecology | 102 Campus Dr Unit 116, Scarborough, ME 04074-9692 | 2007-03-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.